快速康复护理模式对老年慢性鼻窦炎行鼻内镜手术患者的效果

Effect of Rapid Rehabilitation Nursing Mode on Elderly Patients With Chronic Sinusitis Undergoing Nasal Endoscopic Surgery

目的探讨老年慢性鼻窦炎行鼻内镜手术患者采用快速康复护理模式的干预效果。方法选取2020年6月—2022年6月厦门大学附属第一医院收治的老年慢性鼻窦炎行鼻内镜手术患者114例,随机数字表法分为研究组与对照组,各57例。对照组与研究组分别采用常规护理干预、快速康复护理模式,对比2组的护理效果。结果干预后,研究组汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分(6.22±1.56)分,汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分(6.77±1.53)分,均低于对照组的(9.64±2.91)分、(10.46±2.78)分(t=7.820、8.779,P<0.05)。研究组术后3 d的口干、耳鸣、流泪及眼胀痛、头痛、鼻塞、鼻部疼痛评分均低于对照组(P<0.05)。研究组生活质量(WHO quality of life-100,WHOQOL-100)评分高于对照组(P<0.05)。研究组匹茨堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分低于对照组(P<0.05)。结论老年慢性鼻窦炎行鼻内镜手术患者采用快速康复护理模式不仅能有效缓解负面情绪,还可以显著减轻其临床症状,提高其生活质量和睡眠质量。此文的研究结果为老年慢性鼻窦炎行鼻内镜手术患者围手术期的护理标准制定提供了借鉴内容。

Objective To investigate the intervention effect of rapid rehabilitation nursing mode in elderly patients with chronic sinusitis undergoing nasal endoscopic surgery.Methods A total of 114 elderly patients with chronic sinusitis undergoing endoscopic sinus surgery admitted to the First Affiliated Hospital of Xiamen University from June 2020 to June 2022 were selected and divided into study group and control group by random number table method,with 57 cases in each group.The control group and research group were respectively treated with routine nursing intervention and rapid rehabilitation nursing mode,and the nursing effects of the two groups were compared.Results After intervention,the score of Hamilton depression scale(HAMD)(6.22±1.56)points and Hamilton anxiety scale(HAMA)(6.77±1.53)points was lower in the study group than control group(9.64±2.91)points and(10.46±2.78)points(t=7.820,8.779,P<0.05).The study group scores of dry mouth,tinnitus,tearing and eye pain,headache,nasal congestion and nasal pain were all lower than control group(P<0.05).The study group quality of life WHO quality of life-100(WHOQOL-100)score was higher than control group(P<0.05).The study group of Pittsburgh sleep quality index(PSQI)was lower than control group(P<0.05).Conclusion Rapid rehabilitation nursing mode can not only effectively alleviate negative emotions,but also significantly reduce clinical symptoms and improve quality of life and sleep in elderly patients with chronic sinusitis undergoing nasal endoscopic surgery.The results of this study provide references for the formulation of perioperative nursing standards for elderly patients with chronic sinusitis undergoing endoscopic sinus surgery.